[0001] The present invention is directed to a two compartment syringe and more particularly
to a two compartment syringe provided with a so-called by-pass.
[0002] Injectable medicaments often show a rapid loss of potency when they are in their
ready to use form.
[0003] A solution of this problem is found in applying a two compartment syringe system,
one compartment containing the solid medication (either in powder form or preferably
in lyophilised form) and the other compartment containing the injection fluid. The
oldest two compartment system usually consists of two vials with pierceable stoppers.
However, this two vials system commonly presents problems with respect to sterility
since only the interior of the vials are sterile and bacteria from the exterior of
the vials may easily be introduced into the medication during the mixing procedure.
[0004] The two compartment syringes as described in U.S. patent 2,607,344 and South African
patent 84 04 195 therefore embody a major improvement over the said two vial system.
[0005] The above-mentioned South African patent more particularly discloses a two compartment
medication syringe that comprises:
1. a barrel having a chamber for retaining medication;
2. a tip extending from a distal end of said barrel having a passageway therethrough
communicating with said chamber, said tip including means for accepting a hypodermic
needle;
3. a by-pass stopper slidably positioned in fluid-tight engagement inside said barrel;
4. a raised peripheral portion of said barrel serving as a by-pass and defining a
by-pass zone, said by-pass zone being longer along the longitudinal axis of said barrel
than the length of said by-pass stopper along the longitudinal axis of said barrel,
said by-pass positioned so that when said by-pass stopper is within said by-pass zone,
the volume defined within said chamber between said by-pass stopper and said distal
end of said barrel is approximately the volume of the combined components of the medication,
said by-pass being raised enough to allow fluid flow around said by-pass stopper when
said by-pass stopper is positioned within said by-pass zone and
5. a stopper slidably positioned in fluid-tight engagement inside said barrel adapted
to engage a plunger rod to facilitate its operation, said stopper capable of moving
fluid from said chamber through said passageway upon its movement toward said distal
end.
[0006] This syringe minimizes sterility problems by allowing the mixing and administering
steps to be performed without puncturing stoppers or transferring the medication compounds
through surfaces which are exterior to the syringe assembly.
[0007] The medication syringe according to the South African patent has a compartment [A]
defined by the said tip and the by-pass stopper, and a second compartment [B] defined
by the by-pass stopper and the stopper adapted to engage the plunger rod. Hereinafter
compartment A will be called the "needle-compartment" and compartment B the "plunger-compartment"
indicating the relative position of the compartments in the barrel.
[0008] The needle compartment of the syringe according to the South African patent is intended
to contain the solid or lyophilised medicament and consequently the plunger compartment
is filled up with the injection fluid. This syringe is, indeed, very suitable because
lyophilisation of the medicament can be carried out directly in the needle compartment
itself.
[0009] The medication syringe according to the South African patent is, however, less suitable
or even unsuitable for use if the injection fluid is to be stored in the needle compartment
and the solid or lyophilised medicament in the plunger compartment, because an efficient
mixing of the two components is impossible.
[0010] Under certain circumstances it is easier from manufacturing point of view or even
desired to fill the needle compartment with the injection fluid and to sterilize the
syringe and then afterwards to add the medication either in powder or in lyophilised
form aseptically into the plunger compartment.
[0011] The present invention provides a medication syringe of the type as disclosed in the
said South African patent but especially suitable for use where the injection fluid
is to be stored in the needle compartment and the medicament in powder or lyophilised
form in the plunger compartment.
[0012] The two compartment syringe according to the invention comprises:
(1) a barrel;
(2) a tip extending from a distal end of said barrel having a passageway therethrough
connecting the interior of the barrel with the outside, said top including means for
accepting a hypodermic needle;
(3) a by-pass stopper slidably positioned in fluid-tight engagement inside said barrel
thus forming a compartment "a" between the said tip and said by-pass stopper;
(4) at least two raised peripheral portions of said barrel serving as by-passes and
defining possible distinct by-pass zones, said by-pass zones each being longer along
the longitudinal axis of the barrel than the length of said by-pass stopper (measured
along the longitudinal axis of said barrel).
said by-passes positioned so that when said by-pass stopper is moved in the
direction of the said tip
it comes within each by-pass zone simultaneously and then defines a volume of
compartment "a", that is at least the volume of the combined medication components,
said by-passes being raised enough to allow a fluid flow around the by-pass
stopper when said by-pass stopper is positioned within the by-pass zones, and
(5) a stopper slidably positioned in fluid-tight engagement inside the barrel and
adapted to engage a plunger rod, thus forming a compartment "b" between said stopper
and said by-pass stopper.
[0013] In accordance with a preferred embodiment of the present invention the two compartment
syringe includes an elongate substantially cylindrical barrel, and includes sealing
means releaseably connected to the tip in order to close the said passageway. Also
provided are two raised peripheral portions of said barrel serving as by-passes and
defining one by-pass zone, said two by-passes being positioned at approximately opposite
sites of the said barrel. The preferred embodiment further includes a liquid component
(the injection fluid) being contained within the said compartment "a" and the solid
medicament either in powder or in lyophilised form being contained in compartment
"b".
[0014] A further improvement of the above preferred syringe according to the invention renders
it possible to lyophilise a solution of a medicament in the interior of compartment
"b" in a very simple manner.
[0015] For the purpose compartment "b" of the syringe of the invention is provided with
a small opening in the wall, a bypass or other means which provide an open connection
with the outside.
[0016] The syringe containing the injection fluid in compartment "a" and a solution of the
medicament in a compartment "b" (that is provided with the above said open connection
with the outside) is placed in a lyophiliser and lyophilised whereby the solvent in
compartment "b" is allowed to escape through the said opening, bypass or the like.
[0017] After the termination of the lyophilising process compartment "b" is closed by simply
moving the stopper (adapted to engage a plunger rod) in such a manner that it completely
closes the connection with the outside resulting in a sealed compartment "b" containing
the lyophilised residue.
Drawings
[0018]
Fig. 1 is a cross-sectional view of the syringe according to the invention.
Fig. 2 shows the same syringe as in Fig. 1 including the plunger rod and tip cap.
Fig. 3 is an enlarged cross-sectional view of the syringe of Fig. 1 taken along line
2-2 with the by-pass stopper in the by-pass zone.
Fig. 4 has the by-pass stopper within the by-pass zone and schematically shows the
mixing of the medication components with closed tip, the lower by-pass allowing fluid
flow from compartment "a" to compartment "b" and the upper by-pass allowing air flow
from "b" to "a".
Fig. 5 schematically shows the further mixing of the components started in Fig. 4
by gently moving the piston up and down to completely dissolve the solid or lyophilised
medicament, whereby the tip must be kept tightly closed.
Fig. 6 is a side elevation (and cross-sectional) view of the syringe which after attachment
of the needle is ready for use.
Fig. 7 illustrates a syringe according to the invention which is ready for lyophilising
a solution of the medicament in compartment "b"
Fig. 8 shows the syringe of Fig. 7 after the lyophilising process.
[0019] The syringe according to the invention will now be described more in detail with
a reference to figures 1 and 2.
[0020] The two compartment syringe of fig. 1 includes an elongate substantially cylindrical
barrel 30 with the tip 31 extending from a distal end of the barrel 30 and having
a passageway 32 communicating with the outside. Tip cap 33 is releaseably connected
to tip 31 and seals passageway 32 in an air-tight manner. A flexible by-pass stopper
34 is slidably positioned in fluid tight arrangement inside the barrel thus forming
a compartment "a" between said tip and said by-pass stopper.
[0021] The syringe barrel also includes two by-passes 35 and 36 defining in this embodiment
one by-pass zone along the barrel. Both by-passes are large enough to allow fluid
flow around the by-pass stopper when the by-pass stopper is positioned within the
by-pass zone. The by-passes as shown in fig. 3 effectively enlarges the inside diameter
of the barrel within the by-pass zone.
[0022] A flexible stopper 27 is slidably positioned in fluid tight engagement inside the
barrel thus forming a compartment "b" between stopper 37 and by-pass stopper 34. Stopper
37 is furthermore adapted to engage the plunger rod 38 preferably provided with the
rod flange 39 (see fig. 4) as a convenient structure for applying forces to move the
plunger rod.
[0023] The preferred embodiment of the instant invention contains two components of the
medication which will be mixed at the time of use. A liquid, usually the injection
fluid, is contained within the compartment "a" and a medicament in powder- or lyophilised
form in compartment "b".
[0024] The figs. 4 and 5 clearly show the best way of handling in order to mix the medication
components. This handling can be carried out while the passageway 32 is being kept
sealed.
Fig. 7 shows a syringe of invention, inwhich compartment "b" is provided with an opening
40. This opening (which also can be any other means that provides an open connection
with the outside, such as a bypass) allows an easy lypohilisation of a solution of
the medicament in compartment "b".
Fig. 8 illustrates the syringe of fig. 7 after the lyophilising process whereby opening
40 is now closed by the stopper 37.
[0025] The syringe barrel may be constructed of thermoplastic material or glass, while the
stopper, by-pass stopper and tip cap may be made of a wide variety of materials such
as natural and synthetic rubbers. Obviously the materials used must be compatible
with the medication to be stored.
[0026] The syringe according to the present invention includes advantages over the prior
art syringe in that
- for a given volume of powder and solution, the required volume of the syringe can
be much smaller (25-40%); hence this syringe is cheaper and easier to handle by the
doctor and
- in pharmaceutical processing it is now possible to fill the (cheap) injection fluid
and afterwards (after quality control) to add the (expensive) solid medicament.
- with a simple modification (opening in the wall of compartment "b") of the syringe
it is moreover possible to carry out the lyophilising process in the interior of compartment
"b".
1. A two compartment syringe comprising
(1) a barrel;
(2) a tip extending from a distal end of said barrel having a passageway therethrough
connecting the interior of the barrel with the outside, said tip including means for
accepting a hypodermic needle;
(3) a by-pass stopper slidably positioned in fluid-tight engagement inside said barrel
thus forming a compartment "a" between the said tip and said by-pass stopper;
(4) at least two raised peripheral portions of said barrel serving as by-passes and
defining possibly distinct by-pass zones, said by-pass zones each being longer along
the longitudinal axis of the barrel than the length of said by-pass stopper (measured
along the longitudinal axis of said barrel).
said by-passes positioned so that when said by-pass stopper is moved in the
direction of the said tip it comes within each by-pass zone simultaneously and then
defines a volume of compartment "a", that is at least the volume of the combined medication
components,
said by-passes being raised enough to allow a fluid flow aroung the by-pass
stopper when said by-pass stopper is positioned within the by-pass zones, and
(5) a stopper slidably positioned in fluid-tight engagement inside the barrel and
adapted to engage a plunger rod, thus forming a compartment "b" between said stopper
and said by-pass stopper.
2. The syringe of claim 1 having an elongate substantially cylindrical barrel and
includes sealing means releaseably connected to the tip.
3. The syringe according to claim 2 having two by-passes defining one by-pass zone
along the barrel, said by-passes being positioned at approximately opposite sites
of the barrel.
4. The syringe of claims 1, 2 or 3 whereby a liquid - usually the injection fluid
- is contained in the compartment "a" and a solid medicament in the compartment "b".
5. The syringe of claim 4 wherein the solid medicament is lyophilised.
6. The syringe of claim 1, 2 or 3 whereby compartment "b" is provided with a small
opening in the wall, a bypass or other means which provide an open connection with
the outside and which open connection can be closed by moving the stopper in the direction
of the tip.